Case Manager - Pathway of Hope @ Blue Valley Corps

Overview

Job Objective: Coordinate social services activities for the corps. Provide direct assistance and/or referral to clients in need based on established criteria; assess all families with minor children for eligibility in the Pathway of Hope (POH) program. Deliver all POH services using the strength-based case management model to families with a desire to take action to break the cycle of crisis and change the trajectory of their lives.

• Outreach and Engagement
• Conduct regular outreach to social services sites and other locations in the community to identify eligibility requirements
• Engage and build rapport with target population
• Conduct screening interviews with potential applicants in accordance with POH eligibility requirements
• Present potential participant to POH team to include the corps officer, corps support staff, and Divisional POH Manager
• Provide appropriate referrals for individuals not eligible for POH services

• Case Management
• Perform intake that includes required documentation for admission, referral needs, explanation of program and expectations
• Conduct a written assessment on all participants within 72 hours of contact including screening for serious personal safety and mental health issues
• Develop a case plan with the participant based on the primary goals of housing stability, increased income/financial resources and skills, and self-determination within one week of intake which includes short-term and long-term goals with objectives. Update case plan as needed
• Schedule regular meeting times with participants to develop and review goals and objectives
• Conduct home visits as determined by the case plan
• Provide information and referral services as needed
• Assist participants in connecting to and accessing appropriate community resources
• Provide advocacy services as needed, i.e., court involvement, landlord/tenant conflict resolution, etc.
• Provide financial assistance in accordance with program policies and procedures
• Coordinate case management efforts with all staff and contracted services to meet individual and family needs
• Develop a discharge plan with participants addressing permanent housing stability, economic stability, emotional stability and self-determination
• Assist participant to develop a crisis plan; be available during off hours to respond to an emergency
• Conduct life skills and budgeting classes
• Maintain case files for each participant that includes the assessment, case plan, documentation of progress, challenges, outcomes/accomplishments, discharge plan and summary, and documentation of all follow up contact
• Maintain comprehensive and detailed case notes on all participants
• Complete required documentation of all educational groups
• Prepare case records for proper storage after participant discharge
• Ensure client confidentiality in accordance with established procedures and regulations

• Information Management
• Maintain comprehensive demographic data as required on all participants
• Submit monthly summary of service statistics to the Pathway of Hope program manager
• Maintain accurate records of financial assistance provided to participants in their file and in The Salvation Army Information Management System (SIMS)
• Complete other reports as requested

• Agency and Community Networking
• Attend agency and community meetings as requested
• Attend supervisory meetings
• Attend corps team meetings
• Maintain working relationships with community agencies to provide comprehensive services for participants and to stay abreast of current trends and resources available
• Provide guidance and support to community volunteers working with the program
• Represent the agency's purpose, philosophy, and function to the community

• Quality Assurance
• Track and report unmet needs of participants and their families
• Document and report effectiveness of service delivery using consumer, case management and community resource feedback
• Provide ideas for programming specific to educational or process groups needed for participants
• Ensure quality of local data and reporting of information that will support national and territorial POH program outcomes
• Ensure client relevance and consistency of POH by collaboration with the POH program manager with ongoing development of policies and procedures, goals and objectives, and outcome-based measures related to POH
• Pathway of Hope Program Evaluation & Outcomes Measurement
• Ensure the accuracy of data entry into the SIMS database
• Participate in other program and outcome evaluation activities
• Assist the POH program manager in the annual POH evaluation/outcomes measurement for Corps and summary/review report to the Divisional Social Services Director
• Report any POH challenges and work with the POH Program Manager to develop an action plan to address program development needs
• Assist the POH program manager in the completion of quarterly random record reviews and annual review of compliance with standards in order to assure program evaluation/certification requirements

• Education and Training
• Attend training sessions…